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F. In-Tank Gauging I SIR Equipment ® Check this box if tank gauging Is used only for Inventory control. <br /> ❑ Check this box it no lank gauging or SIR equipment is installed <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* Has ail input wiring been inspected for proper entry and termination,Including testing for ground faults? <br /> ❑ Yes ❑ No' Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> ❑ Yes ❑ No' Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No' Was accuracy o1 system water level readings tested? <br /> ❑ Yes ❑ No' Were all probes reinstalled properly? <br /> ❑ Yes Ll <br /> Q No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> `In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> One leak Detectors(LLD): ❑ Check Ihls box if LLD&are not Installed <br /> Complete the followin checklist <br /> Q Yos © <br /> No For equipment start-up or annual equipment cerli icatlon, was a leak simulated to verify LLD performance? (Check a0 that apwy) <br /> ❑ NIA Simulated IeaK rate: Q 3 g-p.h.: ❑0.1 g.p.h ❑Q2 g,p.h. <br /> Yes No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> �J Yes ❑ No' Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No- For mechanical LLDs,does the Lip restrict product flow if It detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLD$,does the turbine automatically shut off Nthe LLD detects a leak? <br /> ® N/A i <br /> ❑ Yos ❑ No' Forel tronic LLDs,does the turbine automatically shut off It any portion of the monitoring system is disabled or disconnected? <br /> ® <br /> NIA <br /> ❑ Yes ❑ No' For electronic LLQ$,does the turbine automatically shut off If any portion of the monitoring system malfunctions or tails a test? <br /> ® N/A <br /> [} Yes [] No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> IN Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H,below,describe how and when these deficiencies were or will be corrected, <br /> H. Comments' --' <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />